Fs-2400-10 Agreement To Extend And Modify Timber Sale Contract

Agreement to Extend and Modify Timber Sale or

Integrated Resource Timber Contract

(Ref. FSM 2450)

FS-2400-0010 (REV. xx/xxxx) OMB 0596-0225 (EXP. x/xx/xxxx)

Contract Number: Project Name:

It is mutually agreed that the contract period of the above designated contract, signed by

of

^Name Business Name

Purchaser

hereinafter called ^{and by} _,

^{Business Name (Continued)} (1) ^{Contractor Name}

for the United States of America, as of the day of _,

Title

₍₂₎ ^{a_s_h_e_r_e_to_f_o_r_e_mo_d_if_ie_d_,} be extended to and modified as follows:

Continued on page 3

Pursuant to this mutual agreement, the Purchaser hereby agrees to perform contract in strict accordance with all and singular the terms and provisions of the aforesaid contract as herein modified. IN WITNESS WHEREOF, the parties hereto

have executed this modification of contract as of the _{day of , .}

(3)

By:

Name of Approving Official ^{Signature of Approving Official}

Contracting Officer

Title of Approving Official

(4)

(Name of Purchaser )

(Street Address of Purchaser )

(City of Purchaser ) (State) (Zip Code) (Signature of Purchaser )

Name ^,

,

IF CONTRACT IS TO OTHER THAN A CORPORATION

Two witnesses:₍₅₎

(Name of First Witness) (Name of Second Witness) (Street Address of First Witness) (Street Address of Second Witness)

(City of First Witness) (State) (Zip Code) (City of Second Witness) (State) (Zip Code)

Signature of First Witness ^{Signature of Second Witness}

IF CONTRACT IS TO CORPORATION

I, certify that I am the

⁽⁶⁾ Title

Secretary of the corporation named as Purchaser herein, that

Name

who signed this contract on behalf of the Purchaser was then

Title

of said corporation; that said contract was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers.

CORPORATE

Duly authorized Title Date _SEAL

If the corporation has no corporate seal that fact shall be stated.

CONSENT OF SURETY

We, (surety) (sureties) do hereby join

in this agreement to extend the contract period and agree that our bond shall bind us, our heirs, executors, administrators, successors and assigns, and each and every one of us and them jointly and severally, in the same manner as if said extended period had been included in the original period of contract to insure compliance with which our bond was given.

^{Dated at} this day of _{, ,}

^{In the presence of:} Individual Surety Corporate Surety ^Witness: Surety:

^Attest Address:

By:

Title:

CORPORATE

Duly authorized Title Date _SEAL

If the corporation has no corporate seal that fact shall be stated, in which case a scroll or adhesive seal shall follow the corporate name.

MODIFICATION CONTINUED FROM PAGE 1

NOTE: If there has been no previous modification, delete "as heretofore modified" in paragraph 1. If there are no modifications included in this extension, delete all words in italics referring to a present modification (including title) and all of paragraph 2.

1. Select Purchaser if Modifying Timber Sale Contract. Select Contractor if modifying Integrated Resource Timber Contract.

2. Check "as heretofore modified" if, and only if, the contract has been previously modified. .

3. The date approving Forest Officer signs this form.

4. If contracting party is a co-partnership or LLC, the Purchaser's Name should be: XYZ Company, by John Doe, a member of the firm. If contracting party is a corporation, Purchaser's Name should be XYZ Company, Inc., by John Doe, President (or other officer or agent) and the seal of the corporation must be impressed or indicated, if one is available. If contracting party is an individual, enter their legal name. If contracting party is a sole proprietorship, enter the legal name of the individual followed by dba and the business name.

5. The signature and addresses of two witnesses are required if sale is to other than a corporation.

6. The certificate must be completed if the purchaser is a corporation.

FS-2400-0010: Public burden for this collection is estimated to be between 0.5 and 4 hours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Under the Paperwork Reduction Act of 1995, an agency shall not conduct or sponsor, and no persons are required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this collection of information is 0596-0225.

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File Code: 2450